Organization Active NPI

Skytop Mental Health Counseling, PLLC

  • Mental Health Counselor
  • Kingston, NY
National Provider Identifier
1699109090
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
004739 Issued in NY
Legal business name
SKYTOP MENTAL HEALTH COUNSELING, PLLC
Practice address
52 Main St
Suite 2B
Kingston, NY 12401-3828
Phone
(845) 863-4588
NPI assigned
Aug 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Brandon Roman, LMHCNPI 1871837625
Title
Owner/Counselor
Phone
(845) 863-4588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 004739 NY Primary

Addresses

Primary practice location

52 Main St
Suite 2B
Kingston, NY 12401-3828

Mailing address

52 Main St
Suite 2B
Kingston, NY 12401-3828
Phone (845) 863-4588

National Provider Directory

National Provider Directory

Locations

15 Lucas Ave
Kingston, NY 12401
Phone (617) 309-7245

52 Main St
Ste 2B
Kingston, NY 12401
Phone (845) 863-4588

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377043200000",
    "number": "1699109090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 MAIN ST",
            "address_2": "SUITE 2B",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013828",
            "telephone_number": "845-863-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 MAIN ST",
            "address_2": "SUITE 2B",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013828",
            "telephone_number": "845-863-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYTOP MENTAL HEALTH COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-21",
        "last_updated": "2013-08-21",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "845-863-4588",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "004739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.